Central Lakes Oral & Facial Surgery

NPI #1386723575 in Sartell, Minnesota

Provider Information

NPI Number: 1386723575
Entity Type: Organization
Organization Name: Central Lakes Oral & Facial Surgery
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Nov 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2380 TROOP DRIVE
Address 2: STE 202
City: Sartell
State: Minnesota
ZIP Code: 56377
Phone: (320) 257-9555

Authorized Official

Name: DR. RODERICK DUANE VAN SURKSUM, DDS
Title: OWNER DENTIST
Phone: (320) 257-9555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
Scott Tilson Claiborne, D.D.S., M.D.	Dentist - Oral and Maxillofacial Surgery	Sartell	AI Deep Dive
DR. David R Jennings, DDS	Dentist - Oral and Maxillofacial Surgery	Duluth	AI Deep Dive
Lawrence H Kent, DDS	Dentist - Oral and Maxillofacial Surgery	Roseville	AI Deep Dive
DR. Jerry Kent Brunsoman, D.D.S., M.S.	Dentist - Oral and Maxillofacial Surgery	Maplewood	AI Deep Dive

Organizations

Provider Name	Specialty	City
Minnesota Oral and Facial Surgery Pllc	Dentist - Oral and Maxillofacial Surgery	Sartell	AI Deep Dive

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